STOP CONTACT PRECAUTIONS. Staff: Families and visitors: Please report to staff before entering. Required: - Gown & Gloves. Bed #

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1 CONTACT PRECAUTIONS Clean hs before Clean hs with A) h foam/gel or B) soap water HOUSEER will - Gown & Gloves Point-of-Care Risk When there is a risk of splash or spray, wear face eye.

2 CONTACT PLUS PRECAUTIONS Clean hs before A Wash hs with soap & water (preferred) B Clean hs with alcohol h rub wash with soap water at first opportunity HOUSEER will - Gown & Gloves Point-of-Care Risk When there is a risk of splash or spray, wear face eye. Twice daily of high-touch surfaces

3 DROPLET PRECAUTIONS Clean hs before Clean hs with A) h foam/gel or B) soap water HOUSEER will - mask with eye When within 2 metres of patient - Keep 2 metres between patients

4 DROPLET & CONTACT PRECAUTIONS Clean hs before Clean hs with A) h foam/gel or B) soap water HOUSEER will - Gown & Gloves - mask with eye When within 2 metres of patient - Keep 2 metres between patients

5 AIRBORNE PRECAUTIONS Private Room Negative Pressure Keep door closed Clean hs before Clean hs with A) h foam/gel or B) soap water HOUSEER will - N95 Respirator N95 Notify Infection Prevention & Control - Before Discontinuing Airborne Precautions

6 AIRBORNE & CONTACT PRECAUTIONS Private Room Negative Pressure Keep door closed Clean hs before HOUSEER will Clean hs with A) H foam/gel or B) soap water - Gown gloves - N95 N95 N95 respirator Notify Infection Prevention & Control - Before Discontinuing Airborne Precautions

7 Point of Care Risk Risk Contact with patient or environment expected Splash or spray of blood or body fluids/secretions anticipated Contact with mucous membranes Non-intact skin, blood, body fluids, secretions, excretions or soiled or likely soiled item/surface anticipated Protection H hygiene Mask eye Put on gown if soiling of clothing is likely Perform h hygiene, then don gloves Perform h hygiene after PPE removal before leaving patient environment Organismbased precautions (examples only; not complete list) Syndromic precautions Private room Negative pressure room Contact Contact Plus Droplet Droplet + Contact CPO, MRSA, VRE, lice, scabies Draining wound, diarrhea, infestation Preferred. For suspect & confirmed CPO: yes C. difficile Diarrhea /or vomiting Preferred N. meningitidis, mumps, pertussis Stiff neck + fever + headache Preferred. If in multi-bed room, draw curtain. Influenza, invasive group A Streptococcus Malaise + acute cough + fever, toxic shock Preferred. If in multi-bed room, draw curtain. Airborne Tuberculosis (TB), measles Fever + weight loss + cough + high risk for TB Yes Airborne+ Contact Varicella (chickenpox, disseminated herpes zoster) Disseminated rash + fever No No No No Yes Yes Staff PPE Gown + gloves Gown + gloves Visitor PPE Parents of pediatric patients Patient wears a procedure mask during transport Gown + gloves if direct care Gown + gloves mask eye mask eye mask + eye + gown + gloves mask + eye (+gown +gloves if direct care) N95 respirator Offer N95 respirator to visitor Yes N95 respirator + gown + gloves N95 respirator (+gown +gloves if direct care) Clean hs before on leaving room. Do not go into common areas such as patient kitchens, playrooms, school rooms, patient lounges. No No Yes Yes Yes Yes JUN.2016 Adapted from VCH/PHC